autoimmunity Flashcards

1
Q

what is autoimmunity

A

a condition characterised by specific humoral and/or cell mediated immune response against the constituents of the bodies own tissues (autoantigens)

a misdirected immune response that occurs when the immune system goes awry and attacks the body itself

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2
Q

what does the induction of an autoimmune response disease require

A

a genetic predisposition
an immune trigger
an autoantigen

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3
Q

what is APECED

A

aire, autoimmune regulator, failure to remove autoimmune T cells in thymus - failure of negative selection

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4
Q

what is IPEX

A

FoxP3 - failure to produce natural T regulator

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5
Q

what is polyendocrinopathy

A

auto immune response to endocrine glands

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6
Q

what is some evidence that autoimmunity is also environmental

A

identical twins, 20-40% both develop, can be caused by infection, disease, diet

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7
Q

what are common infections that can lead to autoimmune disease

A

Coxsackie virus, type 1 diabetes

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8
Q

example of organ specific

A

graves

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9
Q

example of systemic

A

lupus

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10
Q

type 2 autoimmunity

A

antibody mediated

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11
Q

type 3 auto immunity

A

immune-complex disease

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12
Q

type 4 auto immunity

A

T cell-mediated disease

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13
Q

what is a good way of knowing if a autoimmune disease is type 2

A

from mother to foetus type 2 through antibodies, IgG is the only thing that goes across the placenta

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14
Q

what is pemphigus vulgaris

A

type II. auto immune attack on the integrity of the skin, mainly found in elderly women, blister forming. Autoantigen pushes skin cells apart.
Target is desmoglien 3.

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15
Q

what is myasthenia gravis

A

type II. autoantibodies against the acetyl choline receptor at the neuromuscular junction
eyes bugging

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16
Q

what is systemic lupus erythematosus

A

type III. formation of autoantibodies against DNA. predominantly in young women. gives you a rash.